Individual provider Active NPI

Sweetie Sangeeta Krishen, M.D.

  • Pediatrics Physician
  • Madisonville, TN
National Provider Identifier
1568417111
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD.022295 Issued in LA
Practice address
4233 Highway 411
Madisonville, TN 37354-1571
Phone
(423) 545-8383
Fax
(423) 545-8387
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD.022295 LA Primary
Pediatrics Physician 208000000X MD55274 TN

Addresses

Primary practice location

4233 Highway 411
Madisonville, TN 37354-1571

Mailing address

119 Epperson St
Athens, TN 37303-3478
Phone (423) 745-7500

Other practice location 1

2350 W Horizon Ridge Pkwy
Henderson, NV 89052-5075
Phone (702) 564-8556

Other practice location 2

2350 W Horizon Ridge Pkwy
Henderson, NV 89052-5075
Phone (702) 564-8556

Other practice location 3

304 Wright St
Sweetwater, TN 37874-1181
Phone (865) 213-8401

Other identifiers 4

IdentifierTypeStateIssuer
1693197MedicaidLA
8901854OtherTNBLUE CROSS BLUE SHIELD
Q028139MedicaidTN
Q074498MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170718000935 TN Practitioner - Pediatric Medicine 3870863269 Reassigns benefits to 1 organization
Practice locations: Sweetwater, TN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.022295LAMDPediatrics Physician
MD55274TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetwater Hospital Association Pediatrics CurrentSince Oct 1, 2022 Accepting new patients
Sweetwater Hospital Association CurrentSince Oct 1, 2022 Accepting new patients

Locations

304 Church St
Sweetwater, TN 37874
Phone (865) 213-8200

1255 Highway 411
Ste 6
Vonore, TN 37885
Phone (865) 213-8401

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1568417111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 EPPERSON ST",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373033478",
            "telephone_number": "423-745-7500",
            "fax_number": "423-745-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4233 HIGHWAY 411",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373541571",
            "telephone_number": "423-545-8383",
            "fax_number": "423-545-8387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 W Horizon Ridge Pkwy",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890525075",
            "country_code": "US",
            "telephone_number": "702-564-8556",
            "fax_number": "702-564-4485",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2350 W Horizon Ridge Pkwy",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890525075",
            "country_code": "US",
            "telephone_number": "702-564-8556",
            "fax_number": "702-564-4485",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "304 Wright St",
            "address_purpose": "LOCATION",
            "city": "Sweetwater",
            "state": "TN",
            "postal_code": "378741181",
            "country_code": "US",
            "telephone_number": "865-213-8401",
            "fax_number": "865-213-8596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISHEN",
        "first_name": "SWEETIE",
        "middle_name": "SANGEETA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.022295",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD55274",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1693197",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8901854",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q028139",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q074498",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, TN

Sources for this page

Verify at the official NPI Registry.